Although the present-day knowledge of myxedema is well disseminated and the diagnosis usually easy, the comparative rarity of the disease contributes to delays and mistakes in recognizing the condition. The present case is a striking example of this, as the following letter from the patient herself will show:
"I must apologize for not writing for so long, but my time is taken up, it seems to me, and I hardly know how I spend my time. It has been a year now since I left the office and began doctoring and I do not see that I am one bit better. Have been to two specialists for my nose, throat and palate. They both said the palate and vocal cords were partially paralyzed. My tongue is also much swollen, which hinders my talking to some extent. They sent me to a specialist on the eyes, and he sent his